| NPI | 1013328095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 53706) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 66774) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2023-06-22 |